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NPI Code Detail

MEDICARE: MS. CONNIE J SIGNOR RN PNP

MEDICARE: MS. CONNIE J SIGNOR RN PNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerF380772NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477528669
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CONNIE J SIGNOR RN PNP
Provider Business Mailing Address
First Line : PO BOX 2000
Second Line :
City : HUDSON
State : NY
Zip : 12534-2000
Country : US
Telephone Number : 518-828-8363
Fax Number : 518-697-3388
Provider Business Practice Location Address
First Line : 813 WARREN ST
Second Line :
City : HUDSON
State : NY
Zip : 12534-3007
Country : US
Telephone Number : 518-828-4125
Fax Number : 518-828-4842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 12/13/2012

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